Benditz, Achim and Jansen, Petra and Schaible, Jan and Roll, Christina and Grifka, Joachim and Goetz, Juergen (2017) Psychological factors as risk factors for poor hip function after total hip arthroplasty. THERAPEUTICS AND CLINICAL RISK MANAGEMENT, 13. pp. 237-244. ISSN 1178-203X,
Full text not available from this repository. (Request a copy)Abstract
Recovery after total hip arthroplasty (THA) is influenced by several psychological aspects, such as depression, anxiety, resilience, and personality traits. We hypothesized that preoperative depression impedes early functional outcome after THA (primary outcome measure). Additional objectives were perioperative changes in the psychological status and their influence on perioperative outcome. This observational study analyzed depression, anxiety, resilience, and personality traits in 50 patients after primary unilateral THA. Hip functionality was measured by means of the Harris Hip Score. Depression, state anxiety, and resilience were evaluated preoperatively as well as 1 and 5 weeks postoperatively. Trait anxiety and personality traits were measured once preoperatively. Patients with low depression and anxiety levels had significantly better outcomes with respect to early hip functionality. Resilience and personality traits did not relate to hip functionality. Depression and state anxiety levels significantly decreased within the 5-week stay in the acute and rehabilitation clinic, whereas resilience remained at the same level. Our study suggests that low depression and anxiety levels are positively related to early functionality after THA. Therefore, perioperative measurements of these factors seem to be useful to provide the best support for patients with risk factors.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | QUALITY-OF-LIFE; TOTAL JOINT ARTHROPLASTY; KNEE ARTHROPLASTY; PERSONALITY-TRAITS; DEPRESSION; REPLACEMENT; RESILIENCE; ANXIETY; SCORE; OSTEOARTHRITIS; total hip arthroplasty; psychological factors; depression; state anxiety; trait anxiety; resilience; personality traits |
| Subjects: | 600 Technology > 610 Medical sciences Medicine 700 Arts & recreation > 796 Athletic & outdoor sports & games |
| Divisions: | Medicine > Lehrstuhl für Orthopädie Psychology and Pedagogy > Institut für Sportwissenschaft |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 14 Dec 2018 12:58 |
| Last Modified: | 22 Feb 2019 10:29 |
| URI: | https://pred.uni-regensburg.de/id/eprint/109 |
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